A 52-year-old with suspected ACS has normal initial troponin; hs-Tn repeated at 2 hours rises from 3 to 12 ng/L (99th percentile 14 ng/L). ECG normal....

Question

A 52-year-old with suspected ACS has normal initial troponin; hs-Tn repeated at 2 hours rises from 3 to 12 ng/L (99th percentile 14 ng/L). ECG normal. Interpretation?

Accepted Answer

Indeterminate; continue observation with serial hs-Tn

Answer

Rule out MI

Answer

Rule in MI

Answer

No further testing needed

Answer

Immediate PCI required

us-abem MCQ (SBA): hs-Troponin Interpretation

A 52-year-old with suspected ACS has normal initial troponin; hs-Tn repeated at 2 hours rises from 3 to 12 ng/L (99th percentile 14 ng/L). ECG normal. Interpretation?